Region C RAC Announces SNF Approved Issue 5/16/13

The Region C RAC,  Connolly, Inc.  posted on May 16th a new approved issue concerning SNFs.  It looks like they are simply going to make sure the PPS assessments were scheduled and billed correctly for the number of days each assessment should cover.  The days a certain assessment pays for is in the "service unit" field of the bill with the HIPPS code from the MDS.

Details are at:  http://www.connolly.com/healthcare/pages/Approved Issues.aspx.  Connolly is the RAC for 17 states in the Southeastern US:
Alabama

Arkansas
Colorado
Florida
Georgia
Louisiana
Mississippi
North Carolina
New Mexico
Oklahoma
South Carolina
Tennessee
Texas
Virginia
West Virginia

Territories of Puerto Rico and U.S. Virgin

Issue Name:	Units in Excess of PPS Assessment Maximum - C002842013
Description:	Medicare assigns standard scheduled payment periods for SNF assessments. Overpayment occurs when additional units in excess of assessment maximums are billed.
Provider Type Affected:	SNF
Date of Service:	3 Years from Initial Determination Date
States Affected:	First Coast Region C
Additional Information:	1. RAI Manual MDS 3.0 Ch6 Section 6.4 2. CMS IOM 100-04 Chapter 6 Sections 30 and 30.1